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. ' � $ ` , AI'PLICATION FOR SERVICF. SERVICE N° 1 3 5 �'. <br /> APPL ORDER ,' <br /> "�. CITY OF EYERETT WATER DEPT. ! � % �,: l 19 i' <br /> DATE_—'' <br /> ������ � C �� �� . . . : l � �'• <br /> � FIXED . . � . W.O. <br /> j ' , , i '. No. <br /> � DEPOSIT s � _ ' ,;�. . ' ;: <br /> � '� ` � <br /> ��./ � " /�!.��^_-t� %,��_BLK. LOT_ f.D�. <br /> l <br /> SERVICE IBYADOR¢.ss) <br /> ' � � � CONTRACTOR_— <br /> �NER_r�------ , � . , . ', . _ <br /> � FLAT (�/ , �!'� •���-- �---f— ---�— <br /> � . <br /> INST�Lr '���� ���D SERVIC � _ <br /> � f � <br /> I HEREBY APPLY FOR THE USE OF WATEB IN ACCORDANCE WITH THE {� ,�� � , , ,_ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIS7ING sicrucr.: X�= -� ��, � �� � � •' ` <br /> OR AS SAME MAY BE NEREAFTER CHANGED. Pp�tg pMOUNT ' <br /> ?i IN.I , �r1. I � IN. / I JT_ <br /> M.1T �S �/�j��I �� <br /> PIPE COPPER-- GALV.-- STEEL �I� — `�II I-- <br /> CORPORATION _. � I� I 2 <br /> _ , i -��.���- <br /> �- — or �__ I <br /> `CURB COCK ' i —� I�_ <br /> SERV�CE BC% �LASTIC` -- C � __ � <br /> _L <br /> METER VAWE _. —��— "— __ _ <br /> TYPE: -" _.— — -- -- I <br /> METER No. _ - —— i <br /> METER BOX CONCRETE _SMALL LARGE ___ I ` I.��) <br /> /�=75_��i��L-�=- l � _ -_---I � �-7_ <br /> . _ -- � �I-�.- <br /> - ,_ - � <br /> - -_ -�, - <br /> _ -1�_ -� - <br /> ______- ----,- -,- ; <br /> I— ON /-'-. SUB TOTAL I _� �� <br /> DATE INSTALLED:� _ I � _ 7�� � OFF /�(L.� I�� <br /> / I HOUR3 HATE <br /> L�BOR FNO EOUIPMENT HENTA�� Z � , �� ; � <br /> CODF I � _ __. _—_"_ __—_'_ �� � _—_— � <br /> I; �L� ys�_— - -- � _ i i' // �' — <br /> j r/ ---- �-- II I <br /> ----— _� <br /> ' -- � y `l ��, li. � je . <br /> _ I��/� _ I _ — -- — I _ <br /> � � _ <br /> I _i _ — - <br /> 1 ' _______ _ _._. . <br /> _ — <br /> � — � r�' '� l <br /> � TOTAL -� <br /> .�.-.— <br /> \ ' —... <br /> - ._ .—___. _- _ <br /> _ _ — —'--_ <br /> FE\1ARK5: _ _ ____ —_ " — .___-_ . . _ _ . _. <br />